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https://www.readbyqxmd.com/read/28631305/two-years-results-of-small-incision-lenticule-extraction-and-wavefront-guided-laser-in%C3%A2-situ-keratomileusis-for-myopia
#1
Hidenaga Kobashi, Kazutaka Kamiya, Akihito Igarashi, Masahide Takahashi, Kimiya Shimizu
PURPOSE: To compare the 2-years visual and refractive outcomes between small-incision lenticule extraction (SMILE) and wavefront-guided laser in situ keratomileusis (LASIK) in eyes with myopia and myopic astigmatism. METHODS: Our retrospective case-control study examined 30 eyes of 30 patients with the manifest refraction spherical equivalent (MRSE) of -3.71 ± 1.83 dioptres (D) who underwent SMILE and 30 eyes of 30 patients with MRSE of -3.81 ± 1.40 D who underwent wavefront-guided LASIK...
June 20, 2017: Acta Ophthalmologica
https://www.readbyqxmd.com/read/28622316/corneal-densitometry-after-photorefractive-keratectomy-laser-assisted-in-situ-keratomileusis-and-small-incision-lenticule-extraction
#2
F Poyales, N Garzón, J Mendicute, I Illarramendi, P Caro, O Jáñez, F Argüeso, A López
PurposeThe aim of this study was to gain greater insight into the corneal densitometry changes occurring as a result of refractive surgery and to compare these changes across three widely used surgical techniques, namely, photorefractive keratectomy (PRK), laser-assisted in situ keratomileusis with a femtosecond laser (LASIK-FS), or ReLEx small-incision lenticule extraction (ReLEx SMILE).Patients and methodsThree hundred and thirty-six patients (184 male and 152 female patients) participated in this study. They were split into three groups according to the refractive surgery technique they had undergone: LASIK-FS (74 patients), PRK (153 patients), and ReLEx SMILE (109 patients)...
June 16, 2017: Eye
https://www.readbyqxmd.com/read/28620156/the-effect-of-lasik-surgery-on-myopic-anisometropes-sensory-eye-dominance
#3
Lixia Feng, Huimin Lin, Yao Chen, Jiafeng Wang, Yonghua Wang, Rongfeng Liao, Jiawei Zhou, Robert F Hess
Lasik is a common surgery for treating anisometropia. In this study, we asked a specific question: what's the effect of Lasik surgery on anisometropes' sensory eye dominance ? Fifteen myopic anisometropes (mean age: 23 ± 6.9 years old; 6 females) participated in our experiment. We quantitatively measured participants' sensory eye dominance before and after the Lasik surgery using a binocular phase combination paradigm. We found no significant change of sensory eye dominance within 16 weeks (measured between 8 to 96 days, for one or two repetitions) after the surgery (t(14) = -1...
June 15, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28608800/a-novel-laser-refractive-surgical-treatment-for-presbyopia-optics-based-customization-for-improved-clinical-outcome
#4
Bojan Pajic, Brigitte Pajic-Eggspuehler, Joerg Mueller, Zeljka Cvejic, Harald Studer
Laser Assisted in Situ Keratomileusis (LASIK) is a proven treatment method for corneal refractive surgery. Surgically induced higher order optical aberrations were a major reason why the method was only rarely used to treat presbyopia, an age-related near-vision loss. In this study, a novel customization algorithm for designing multifocal ablation patterns, thereby minimizing induced optical aberrations, was used to treat 36 presbyopic subjects. Results showed that most candidates went from poor visual acuity to uncorrected 20/20 vision or better for near (78%), intermediate (92%), and for distance (86%) vision, six months after surgery...
June 13, 2017: Sensors
https://www.readbyqxmd.com/read/28606616/the-effect-of-previous-soft-contact-lens-wear-on-corneal-refractive-surgery-outcomes
#5
Aoife Lloyd-McKernan, Luisa Simo Mannion, Veronica O'Dwyer
PURPOSE: To examine the influence of previous soft contact lens (SCL) wear on corneal refractive surgery (CRS) outcomes when SCL wear is ceased for two weeks versus twenty-four hours, and also when compared to no wear, prior to CRS. METHODS: A retrospective examination of CRS patient records was carried out for two groups of patients- who ceased SCL wear for two weeks (n=45) and for twenty-four hours (n=49) prior to CRS and compared to a non-contact lens (NCL) control group (n=45 and n=49, respectively)...
June 10, 2017: Contact Lens & Anterior Eye: the Journal of the British Contact Lens Association
https://www.readbyqxmd.com/read/28600502/evaluating-the-repeatability-of-corneal-elevation-through-calculating-the-misalignment-between-successive-topography-measurements-during-the-follow-up-of-lasik
#6
XiaoBo Zheng, WeiHua Yang, LiFang Huang, JunJie Wang, Si Cao, Brendan Geraghty, YiPing Zhao, QinMei Wang, FangJun Bao, Ahmed Elsheikh
The study aims to evaluate, using the Iterative Closest Point (ICP) algorithm, the repeatability of successive corneal elevation measurements taken post-LASIK. Two topography maps of 98 LASIK participants were recorded preoperatively (Pre), 1 month (Pos1M) and 3 months postoperatively (Pos3M). Elevation of the second measurement was fitted to the first measurement by calculating using ICP, and correcting for, both translational and rotational misalignment components. The RMS of elevation differences between anterior corneal measurements were statistically significant post-LASIK compared to preoperation (P < 0...
June 9, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28596969/twelve-year-follow-up-of-laser-in-situ-keratomileusis-for-moderate-to-high-myopia
#7
Tetsuya Ikeda, Kimiya Shimizu, Akihito Igarashi, Sumie Kasahara, Kazutaka Kamiya
PURPOSE: To assess the long-term clinical outcomes of conventional laser in situ keratomileusis (LASIK) for moderate to high myopia. METHODS: We retrospectively examined sixty-eight eyes of 37 consecutive patients who underwent conventional LASIK for the correction of myopia (-3.00 to -12.75 diopters (D)). At 3 months and 1, 4, 8, and 12 years postoperatively, we assessed the safety, efficacy, predictability, stability, mean keratometry, central corneal thickness, and adverse events...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28594648/risk-profiles-of-ectasia-after-keratorefractive-surgery
#8
Pushpanjali Giri, Dimitri T Azar
PURPOSE OF REVIEW: To identify and evaluate the risk factors of iatrogenic ectasia after refractive surgery. RECENT FINDINGS: We reviewed recently published papers that identified various risk factors associated with ectasia after LASIK, photorefractive keratectomy, small incision lenticule extraction, and other refractive surgical procedures. We also attempted to evaluate the relative contributions of these factors to the development of ectasia following refractive surgery...
July 2017: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/28591507/-regarding-surface-ablation-as-an-ethically-superior-option-when-compared-to-lasik-primum-non-nocere
#9
Kepa Balparda
Refractive surgery is an extremely safe surgical intervention, with excellent profiles of clinical improvement and satisfaction. The ethical responsibility of the refractive surgeon is to look for diminishing the patients' exposure to unnecessary risks. Therefore, surface ablation would be a preferable option over LASIK as the former has a better safety profile than the latter, without compromising final visual acuity. Ethically, surface ablation should be considered as the first choice in those patients undergoing Excimer laser refractive surgery...
July 2017: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/28589448/-laser-in-situ-keratomileusis-with-microkeratome-or-femtosecond-laser
#10
REVIEW
T Kohnen, G Steinwender
OBJECTIVE AND PRINCIPLES: In LASIK, after cutting a lamellating stromal corneal incision (flap) with a microkeratome or a femtosecond laser, the underlying tissue is treated with an excimer laser for refractive correction. The objective is to achieve independency from spectacles and contact lenses due to correction of ametropia. INDICATIONS: Surgery is indicated when the patient wishes to achieve independency from spectacles and contact lenses. For LASIK, the German Commission for Refractive Surgery defined a range of applicability for myopic correction up to -8 diopters (D), astigmatic correction up to 5 D and hyperopic correction up to +3 D...
June 6, 2017: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/28587100/excimer-laser-surgery-biometrical-iris-eye-recognition-with-cyclorotational-control-eye-tracker-system
#11
Bojan Pajic, Zeljka Cvejic, Zoran Mijatovic, Dragan Indjin, Joerg Mueller
A prospective comparative study assessing the importance of the intra-operative dynamic rotational tracking-especially in the treatment of astigmatisms in corneal refractive Excimer laser correction-concerning clinical outcomes is presented. The cyclotorsion from upright to supine position was measured using iris image comparison. The Group 1 of patients was additionally treated with cyclorotational control and Group 2 only with X-Y control. Significant differences were observed between the groups regarding the mean postoperative cylinder refraction (p < 0...
May 25, 2017: Sensors
https://www.readbyqxmd.com/read/28586502/biomechanical-changes-after-lasik-flap-creation-combined-with-rapid-cross-linking-measured-with-brillouin-microscopy
#12
J Bradley Randleman, Johnny P Su, Giuliano Scarcelli
PURPOSE: To evaluate the biomechanical changes occurring after LASIK flap creation and rapid corneal cross-linking (CXL) measured with Brillouin light microscopy. METHODS: Porcine eyes (n = 11) were evaluated by Brillouin light microscopy sequentially in the following order: virgin state, after LASIK flap creation, and after rapid CXL. Each eye served as its own control. Depth profile of the Brillouin frequency shift was computed to reveal the depth-dependent changes in corneal stiffness...
June 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28586497/a-three-year-observation-of-corneal-backscatter-after-small-incision-lenticule-extraction-smile
#13
Tian Han, Jing Zhao, Yang Shen, Yingjun Chen, Mi Tian, Xingtao Zhou
PURPOSE: To investigate changes in corneal backscatter after small incision lenticule extraction (SMILE). METHODS: One eye was randomly selected from 34 patients who underwent SMILE procedures. Corneal backscatter was analyzed using Scheimpflug technology before surgery and at postoperative 1 day, 1 week, 1 month, 3, 6, and 12 months, and 3 years. Three different corneal depths (the anterior 120 µm, the center, and the posterior 60 µm) and three concentric radial zones (0 to 2, 2 to 6, and 6 to 10 mm) were analyzed...
June 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28586496/small-incision-lenticule-extraction-smile-for-hyperopia-optical-zone-diameter-and-spherical-aberration-induction
#14
Dan Z Reinstein, Kishore R Pradhan, Glenn I Carp, Timothy J Archer, Marine Gobbe, Walter Sekundo, Raynan Khan, Purushottam Dhungana
PURPOSE: To evaluate optical zone diameter efficacy and spherical aberration change in hyperopic small incision lenticule extraction (SMILE). METHODS: Prospective study of 60 consecutive hyperopic SMILE procedures using the VisuMax femtosecond laser (Carl Zeiss Meditec, Jena, Germany) and matched LASIK procedures with the VisuMax and MEL 80 excimer (Carl Zeiss Meditec) lasers. Inclusion criteria were maximum attempted hyperopic meridian of between +1.00 and +7.00 diopters (D)...
June 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28586495/meta-analysis-of-the-fda-reports-on-patient-reported-outcomes-using-the-three-latest-platforms-for-lasik
#15
Majid Moshirfar, Tirth J Shah, David Franklin Skanchy, Steve H Linn, Daniel S Durrie
PURPOSE: To analyze the impact of the three latest U.S. Food and Drug Administration (FDA)-approved lasers on patient-reported outcomes after LASIK. METHODS: In this meta-analysis of patient-reported FDA data, an aggregated total of 718 eyes undergoing LASIK using VISX iDesign (Abbott Medical Optics Manufacturing, Milpitas, CA), Alcon Contoura (Alcon Research, Ltd., Fort Worth, TX), and Nidek CATz (Nidek Co. Ltd., Gamagori, Japan) lasers were evaluated for overall changes in visual symptoms postoperatively...
June 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28585430/satisfactory-clinical-outcome-following-delayed-repositioning-of-a-traumatic-post-lasik-flap-with-dislocation-and-shrinkage-managed-by-irrigation-stretching-and-debridement
#16
Ye-Sheng Xu, Wen-Jia Xie, Yu-Feng Yao
OBJECTIVE: To report surgical management and favorable outcome in a case with delayed repair of traumatic laser in situ keratomileusis (LASIK) flap dislocation with shrinkage and folds. METHODS: A 30-year-old man with a five-year history of bilateral LASIK experienced blunt trauma to his right eye followed by decreased vision for 5 weeks. The surgical management included initially softening the flap by irrigation with balanced salt solution (BSS). The shrinkage folds were carefully and gently stretched by scraping with a 26-gauge cannula accompanied by BSS irrigation...
June 2017: Journal of Zhejiang University. Science. B
https://www.readbyqxmd.com/read/28579752/comparison-of-visual-acuity-refractive-outcomes-and-satisfaction-between-lasik-performed-with-a-microkeratome-and-a-femto-laser
#17
Sharif Hashmani, Nauman Hashmani, Hina Rajani, Priyanka Ramesh, Junaid Ahmed Soomro, Syed Rashid Hussain Shah, Jaish Kumar, Sayed Mustafa Mahmood Shah
PURPOSE: To compare refractive outcomes, visual acuities, and satisfaction of patients between those treated with laser-assisted in situ keratomileusis (LASIK) using a Hansatome microkeratome (HM) and femto-assisted laser (FAL). METHODS: This was a retrospective analysis of 1,366 eyes in 687 patients who underwent LASIK with an HM (n=1,137) and an FAL (n=229) at the two centers of Hashmanis Hospital, Karachi, Pakistan. Refractive outcomes, including sphere, cylinder, and spherical equivalent in diopters (D), and visual acuities were assessed both preoperatively and at 1 month follow-up...
2017: Clinical Ophthalmology
https://www.readbyqxmd.com/read/28579751/treatment-of-moderate-to-high-hyperopia-with-the-wavelight-allegretto-400-and-ex500-excimer-laser-systems
#18
Manoj Motwani, Ronald Pei
PURPOSE: To evaluate the efficacy of treating patients with +3.00 diopters (D) to +6.00 D of hyperopia via laser-assisted in situ keratomileusis (LASIK) with the WaveLight Allegretto 400 and EX500 excimer laser systems. SETTING: Private clinical ophthalmology practice. PATIENTS AND METHODS: This was a retrospective study of patients undergoing LASIK treatments of +3.00 to +6.00 D on two different WaveLight laser systems: 163 eyes on the 400 (Hertz) Hz system and 54 eyes on the 500 Hz system...
2017: Clinical Ophthalmology
https://www.readbyqxmd.com/read/28553071/the-use-of-wavelight-%C3%A2-contoura-to-create-a-uniform-cornea-the-lyra-protocol-part-3-the-results-of-50-treated-eyes
#19
Manoj Motwani
PURPOSE: To demonstrate how using the Wavelight Contoura measured astigmatism and axis eliminates corneal astigmatism and creates uniformly shaped corneas. PATIENTS AND METHODS: A retrospective analysis was conducted of the first 50 eyes to have bilateral full WaveLight(®) Contoura LASIK correction of measured astigmatism and axis (vs conventional manifest refraction), using the Layer Yolked Reduction of Astigmatism Protocol in all cases. All patients had astigmatism corrected, and had at least 1 week of follow-up...
2017: Clinical Ophthalmology
https://www.readbyqxmd.com/read/28544605/assessment-of-meibomian-glands-and-tear-film-in-post-refractive-surgery-patients
#20
Ji Won Jung, Jung Yong Kim, Hee Seung Chin, Young Ju Suh, Tae-Im Kim, Kyoung Yul Seo
IMPORTANCE: Corneal refractive surgery may impact meibomian gland and tear film in post-refractive surgery patients. BACKGROUND: To compare ocular surface parameters between post-refractive surgery patients and normal controls. DESIGN: Cross-sectional single center study PARTICIPANTS: A total of 120 eyes of 120 subjects were divided into three groups: (i) 60 controls and 60 patients underwent corneal refractive surgery at least 12 months ago; (ii) 30 post-laser in-situ keratomileusis (LASIK) patients and (iii) 30 post-laser epithelial keratomileusis (LASEK)/photo-refractive keratectomy (PRK) patients...
May 22, 2017: Clinical & Experimental Ophthalmology
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